Provider Demographics
NPI:1366445520
Name:GILLESPIE, WILLIAM MEEK III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MEEK
Last Name:GILLESPIE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 HOSPITAL DR
Mailing Address - Street 2:STE 8
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-1938
Mailing Address - Country:US
Mailing Address - Phone:662-328-2061
Mailing Address - Fax:662-328-5000
Practice Address - Street 1:425 HOSPITAL DR
Practice Address - Street 2:STE 8
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-1938
Practice Address - Country:US
Practice Address - Phone:662-328-2061
Practice Address - Fax:662-328-5000
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS9117207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00011695Medicaid
AL730-00304OtherBC/BS OF AL
MS180000054Medicare ID - Type Unspecified
MS180011940Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MS00011695Medicaid